Spanish Black Radish Ingredients & Drug Interactions
What is this page for?
First and foremost: checking Spanish Black Radish against your medications. The heart of this page is the interaction checker and the full interaction report — how this product’s ingredients may interact with prescription and over-the-counter medicines you may be taking.
Around that, we add a pharmacist’s high-level view of the product as a whole — what’s inside, the evidence for its stated use, how transparent the label is, and what safety data exists — so you can see the full picture in one place. It’s educational information from our licensed clinical databases and the clinical staff at HelloPharmacist — not medical advice — and we don’t sell or endorse products. Our editorial policy
Spanish Black Radish is a dietary supplement by SP Standard Process with 2 active ingredients. Its ingredients are commonly taken for common cold and immune support, antioxidant support, skin health and collagen formation.Based on those ingredients, 293 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Vitamin C, Spanish Black Radish. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Spanish Black Radish by SP Standard Process
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HelloPharmacist Scorecard of Spanish Black Radish by SP Standard Process
Our pharmacy team’s full take, with four database checks built into the cards below — a summary of what is known, not a grade of the product itself.
What’s inside
Full disclosure
This product contains 2 active ingredients: vitamin C and Spanish black radish extract. Vitamin C is an essential nutrient that supports immune function and acts as an antioxidant in the body.
Spanish black radish is a root vegetable used traditionally in herbal medicine, though the evidence for its effectiveness is not well established in the data we hold. The tablet also contains inactive ingredients—honey, acerola, camu camu, manioc, and calcium stearate—that serve as sweeteners, binders, and fillers.
Does it work?
Strong evidence
Vitamin C is effective for preventing and treating vitamin C deficiency, and possibly effective for anemia of chronic disease, atrial fibrillation, cataracts, and exercise-induced respiratory infections. For Spanish black radish itself, the evidence we have is insufficient to rate it for biliary disorders or diabetes.
If you're considering this product for a specific health goal, talk with your doctor or pharmacist about whether the evidence supports its use for your situation.
How safe is it?
Well-documented data
Vitamin C at normal dietary doses and in prenatal vitamins is generally well tolerated. However, at high doses above 2 grams daily, it can cause stomach cramps, heartburn, diarrhea, nausea, vomiting, and headache.
Kidney stones have been reported in people prone to them. Rare serious cases at very high doses have involved kidney damage.
Spanish black radish is safe in normal food amounts. A rare case of allergy has been reported with throat tightness and hives.
Large amounts may irritate your stomach and cause mild indigestion. For pregnancy and breastfeeding, normal food amounts of vitamin C are considered safe, but the facts advise against high-dose supplements unless your doctor recommends it.
We hold no specific pregnancy or breastfeeding data for radish extract, so talk with your doctor or pharmacist before taking it if you're pregnant or nursing.
Meds to double-check
Moderate interaction found
Before taking this product, double-check with your doctor or pharmacist if you take estrogens (oral contraceptives or hormone replacement therapy), as vitamin C may increase hormone levels. Also check if you take blood thinners like warfarin, diabetes medications, thyroid drugs like levothyroxine, chemotherapy drugs, the antipsychotic fluphenazine, the HIV medicine indinavir, or aluminum-containing products—all have documented interactions with the vitamin C in this formula.
The bottom line
Scorecard at a glanceFully disclosed formula with strong clinical evidence behind its ingredients' uses. Moderate medication interactions have been identified, and safety information is well characterized.
This product may be worth considering if you want vitamin C and are interested in radish extract, but you'll want to check your medications first—especially if you take birth control, blood thinners, diabetes drugs, thyroid medication, or chemotherapy. The evidence for radish itself is limited.
Talk with your doctor or pharmacist before starting, especially if you take any prescription medications or have kidney issues.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 2 of 2 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Jun 22, 2023.
This Scorecard evaluates available label information, ingredient evidence, and known medication-safety considerations. It does not independently verify product identity, purity, potency, contamination, or manufacturing quality. How these ratings are computed
General information
Key facts about Spanish Black Radish, straight from the product label.
| Brand | SP Standard Process |
|---|---|
| Barcode (UPC) | 812122012898 |
| Net contents | 80 Tablet(s) |
| Market status | On market |
| Date entered into DSLD | Jun 22, 2023 |
| DSLD ID | 292118 |
| Product type | Botanical With Nutrients |
| Supplement form | Tablet Or Pill |
| Dietary claims / uses | All Other |
| Intended target group(s) | Adult (18 - 50 Years), Gluten Free |
Everything in this section is reproduced from the manufacturer’s own product label — it’s the label speaking, not HelloPharmacist. We show it so you can see exactly what the maker states; we don’t verify or endorse those statements.
Supplement Facts
The label details for Spanish Black Radish by SP Standard Process, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Calories | 2 Calorie(s) | -- |
| Vitamin C | 4.6 mg | 8% |
| Spanish Black Radish | 370 mg | -- |
Other ingredients: Honey, Acerola, Camu Camu, Manioc, Calcium Stearate
Tap any ingredient to jump to its full detail below.
These statements are the manufacturer’s wording, reproduced from the product label — the label is saying it, not HelloPharmacist. We don’t verify or endorse them.
FDA Statement of Identity
Dietary Supplement
Suggested/Recommended/Usage/Directions
Suggested use: One tablet per meal, or as directed.
Formulation
GF gluten-free
General Statements
Whole food supplements since 1929
Precautions
Caution: This product is processed in a facility that manufactures other products containing soy, milk, egg, wheat, peanut, tree nuts, fish, and shellfish.
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Spanish Black Radish by SP Standard Process label
The label scan from the NIH Dietary Supplement Label Database. Tap to enlarge.
Label images are published by the NIH Dietary Supplement Label Database for the version of this product on file. Always read your actual product label.
View the full label (PDF)The Ingredients in Spanish Black Radish by SP Standard Process
These are the 2 active ingredients this product is made of. Select any to open its full monograph.
Serving size1 Tablet(s) Dosage formTablet Or Pill Servings per container80 Amounts shown are per serving.
Most supplement products combine several ingredients, and a medication can interact with the product through any one of them. Each ingredient below shows whether it has known drug interactions.
Vitamin C
Interacts with207 drugs
Vitamin C (ascorbic acid) is an essential nutrient your body needs but cannot make, so you must get it from food or supplements. It's important for im...
Vitamin C monograph & interactionsSpanish Black Radish
Interacts with86 drugs
Radish is a common edible root vegetable that is nutritious and generally safe to eat as food. Some people use radish (especially black radish) and it...
Spanish Black Radish monograph & interactionsOther (inactive) ingredients: Honey, Acerola, Camu Camu, Manioc, Calcium Stearate. These complete the product’s ingredient list but are not active constituents.
Spanish Black Radish by SP Standard Process Drug Interactions
HelloPharmacist Interaction Report
Spanish Black Radish by Standard Process contains vitamin C and radish extract, and vitamin C has documented interactions with a number of medication types.
The most serious concern is with estrogens—oral contraceptives and hormone replacement therapy—where vitamin C may raise blood levels of the hormone by up to 55% under some circumstances, potentially changing how well your birth control works or shifting your hormone levels.
Read the full breakdown — every affected drug type, severity by severity
Vitamin C also interacts with blood thinners like warfarin at high doses, chemotherapy drugs (both alkylating agents and antitumor antibiotics), the antipsychotic fluphenazine, the HIV medicine indinavir, the thyroid drug levothyroxine, and aluminum-containing products. It can also increase aluminum absorption.
Altogether, these interactions span 293 individual medications.
Radish extract carries a separate interaction with blood sugar drugs (antidiabetes medications)—animal research suggests it may lower glucose levels, so taking it alongside insulin or diabetes pills could theoretically increase your risk of low blood sugar (hypoglycemia).
We could not check one inactive ingredient here for interactions. Use the medication checker below to search your exact drugs before you start.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Spanish Black Radish?
Ask about interactions with your drugs in plain English — “Can I take it with lisinopril?” — and we find you the answer in seconds, ingredient by ingredient.
Go to the checkerIngredients driving the most interactions
Individual Drug Interactions
The ingredients in Spanish Black Radish interact with 293 drugs. Click any drug to see the details.
2 of the 2 ingredients in Spanish Black Radish interact with drugs. Each result below shows which ingredient is responsible. Vitamin C Spanish Black Radish
GliclazideDiamicron
How Gliclazide interacts with Spanish Black Radish — through 1 ingredient. Tap an ingredient for the detail:
Spanish Black RadishAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, radish might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Spanish Black Radish + Gliclazide interactionGlimepirideAmaryl
How Glimepiride interacts with Spanish Black Radish — through 1 ingredient. Tap an ingredient for the detail:
Spanish Black RadishAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, radish might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Spanish Black Radish + Glimepiride interactionGlipizideGlucotrol, Glucotrol XL
How Glipizide interacts with Spanish Black Radish — through 1 ingredient. Tap an ingredient for the detail:
Spanish Black RadishAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, radish might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Spanish Black Radish + Glipizide interactionGlipizide, MetforminMetaglip
How Glipizide, Metformin interacts with Spanish Black Radish — through 1 ingredient. Tap an ingredient for the detail:
Spanish Black RadishAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, radish might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Spanish Black Radish + Glipizide, Metformin interactionGlucagonBaqsimi, Glucagon
How Glucagon interacts with Spanish Black Radish — through 1 ingredient. Tap an ingredient for the detail:
Spanish Black RadishAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, radish might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Spanish Black Radish + Glucagon interactionGlucoseIV Glucose
How Glucose interacts with Spanish Black Radish — through 1 ingredient. Tap an ingredient for the detail:
Spanish Black RadishAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, radish might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Spanish Black Radish + Glucose interactionGlyburideAlbert Glyburide, Diabeta, Glycron, Glynase, Glynase PresTab, Micronase +1 more
How Glyburide interacts with Spanish Black Radish — through 1 ingredient. Tap an ingredient for the detail:
Spanish Black RadishAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, radish might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Spanish Black Radish + Glyburide interactionGlyburide, MetforminGlucovance
How Glyburide, Metformin interacts with Spanish Black Radish — through 1 ingredient. Tap an ingredient for the detail:
Spanish Black RadishAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, radish might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Spanish Black Radish + Glyburide, Metformin interactionIdarubicinIdamycin
How Idarubicin interacts with Spanish Black Radish — through 1 ingredient. Tap an ingredient for the detail:
Vitamin CAntitumor Antibiotics Moderate
Interaction Summary
Theoretically, the antioxidant effects of vitamin C might reduce the effectiveness of antitumor antibiotics.
Read the full Vitamin C + Idarubicin interactionIfosfamideIfex
How Ifosfamide interacts with Spanish Black Radish — through 1 ingredient. Tap an ingredient for the detail:
Vitamin CAlkylating Agents Moderate
Interaction Summary
Theoretically, antioxidant effects of vitamin C might reduce the effectiveness of alkylating agents.
Read the full Vitamin C + Ifosfamide interactionIndinavirCrixivan
How Indinavir interacts with Spanish Black Radish — through 1 ingredient. Tap an ingredient for the detail:
Vitamin CIndinavir (crixivan) Moderate
Interaction Summary
Vitamin C can modestly reduce indinavir levels.
Read the full Vitamin C + Indinavir interactionInhaled InsulinExubera
How Inhaled Insulin interacts with Spanish Black Radish — through 1 ingredient. Tap an ingredient for the detail:
Spanish Black RadishAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, radish might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Spanish Black Radish + Inhaled Insulin interactionInsulinNovoRapid Insulin
How Insulin interacts with Spanish Black Radish — through 1 ingredient. Tap an ingredient for the detail:
Spanish Black RadishAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, radish might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Spanish Black Radish + Insulin interactionInsulin (bovine)Hypurin Bovine Neutral
How Insulin (bovine) interacts with Spanish Black Radish — through 1 ingredient. Tap an ingredient for the detail:
Spanish Black RadishAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, radish might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Spanish Black Radish + Insulin (bovine) interactionInsulin (human)Afrezza, Novolin 70/30, Novolin L, Novolin N, Novolin R
How Insulin (human) interacts with Spanish Black Radish — through 1 ingredient. Tap an ingredient for the detail:
Spanish Black RadishAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, radish might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Spanish Black Radish + Insulin (human) interactionInsulin (pork)Hypurin Porcine Neutral, Lente Iletin II, NPH Iletin, NPH Iletin II, Pork Actrapid, Regular Iletin +1 more
How Insulin (pork) interacts with Spanish Black Radish — through 1 ingredient. Tap an ingredient for the detail:
Spanish Black RadishAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, radish might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Spanish Black Radish + Insulin (pork) interactionInsulin (rdna)Actrapid, Humalog, Humalog Mix 75/25, Humulin 50/50, Humulin 70/30, Humulin L +8 more
How Insulin (rdna) interacts with Spanish Black Radish — through 1 ingredient. Tap an ingredient for the detail:
Spanish Black RadishAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, radish might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Spanish Black Radish + Insulin (rdna) interactionInsulin AspartFiasp
How Insulin Aspart interacts with Spanish Black Radish — through 1 ingredient. Tap an ingredient for the detail:
Spanish Black RadishAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, radish might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Spanish Black Radish + Insulin Aspart interactionInsulin Aspart, Insulin DegludecRyzodeg 70/30
How Insulin Aspart, Insulin Degludec interacts with Spanish Black Radish — through 1 ingredient. Tap an ingredient for the detail:
Spanish Black RadishAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, radish might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Spanish Black Radish + Insulin Aspart, Insulin Degludec interactionInsulin DegludecTresiba
How Insulin Degludec interacts with Spanish Black Radish — through 1 ingredient. Tap an ingredient for the detail:
Spanish Black RadishAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, radish might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Spanish Black Radish + Insulin Degludec interactionInsulin Degludec, LiraglutideXultophy 100/3.6
How Insulin Degludec, Liraglutide interacts with Spanish Black Radish — through 1 ingredient. Tap an ingredient for the detail:
Spanish Black RadishAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, radish might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Spanish Black Radish + Insulin Degludec, Liraglutide interactionInsulin GlargineBasaglar, Lusduna, Semglee
How Insulin Glargine interacts with Spanish Black Radish — through 1 ingredient. Tap an ingredient for the detail:
Spanish Black RadishAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, radish might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Spanish Black Radish + Insulin Glargine interactionInsulin Glargine (rdna)Lantus
How Insulin Glargine (rdna) interacts with Spanish Black Radish — through 1 ingredient. Tap an ingredient for the detail:
Spanish Black RadishAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, radish might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Spanish Black Radish + Insulin Glargine (rdna) interactionInsulin Glargine RecombinantToujeo Solostar
How Insulin Glargine Recombinant interacts with Spanish Black Radish — through 1 ingredient. Tap an ingredient for the detail:
Spanish Black RadishAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, radish might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Spanish Black Radish + Insulin Glargine Recombinant interactionInsulin Glargine, LixisenatideSoliqua 100/33
How Insulin Glargine, Lixisenatide interacts with Spanish Black Radish — through 1 ingredient. Tap an ingredient for the detail:
Spanish Black RadishAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, radish might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Spanish Black Radish + Insulin Glargine, Lixisenatide interactionInsulin Glulisine (rdna)Apidra
How Insulin Glulisine (rdna) interacts with Spanish Black Radish — through 1 ingredient. Tap an ingredient for the detail:
Spanish Black RadishAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, radish might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Spanish Black Radish + Insulin Glulisine (rdna) interactionInsulin Human, Sodium ChlorideMyxredlin
How Insulin Human, Sodium Chloride interacts with Spanish Black Radish — through 1 ingredient. Tap an ingredient for the detail:
Spanish Black RadishAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, radish might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Spanish Black Radish + Insulin Human, Sodium Chloride interactionInsulin LisproAdmelog, Admelog Solostar
How Insulin Lispro interacts with Spanish Black Radish — through 1 ingredient. Tap an ingredient for the detail:
Spanish Black RadishAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, radish might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Spanish Black Radish + Insulin Lispro interactionInsulin Lispro RecombinantHumalog Kwikpen
How Insulin Lispro Recombinant interacts with Spanish Black Radish — through 1 ingredient. Tap an ingredient for the detail:
Spanish Black RadishAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, radish might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Spanish Black Radish + Insulin Lispro Recombinant interactionInsulin Lispro-aabcLyumjev
How Insulin Lispro-aabc interacts with Spanish Black Radish — through 1 ingredient. Tap an ingredient for the detail:
Spanish Black RadishAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, radish might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Spanish Black Radish + Insulin Lispro-aabc interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Spanish Black Radish with known interactions, here are the types of medications they can affect. Open any type for the detail — or search your exact drug in the checker above.
Vitamin C
Alkylating Agents
Theoretically, antioxidant effects of vitamin C might reduce the effectiveness of alkylating agents.
The use of antioxidants like vitamin C during chemotherapy is controversial. There is concern that antioxidants could reduce the activity of chemotherapy drugs that generate free radicals, such as cyclophosphamide, chlorambucil, carmustine, busulfan, and thiotepa. In contrast, some researchers theorize that antioxidants might make chemotherapy more effective by reducing oxidative stress that could interfere with apoptosis (cell death) of cancer cells. More evidence is needed to determine what effect, if any, antioxidants such as vitamin C have on chemotherapy.
Aluminum
Vitamin C can increase the amount of aluminum absorbed from aluminum compounds.
Research in animals and humans shows that vitamin C increases aluminum absorption, theoretically by chelating aluminum and keeping it in solution where it is available for absorption. In people with normal renal function, urinary excretion of aluminum will likely increase, making aluminum retention and toxicity unlikely. Patients with renal failure who take aluminum-containing compounds such as phosphate binders should avoid vitamin C supplements in doses above the recommended dietary allowances.
Antitumor Antibiotics
Theoretically, the antioxidant effects of vitamin C might reduce the effectiveness of antitumor antibiotics.
The use of antioxidants like vitamin C during chemotherapy is controversial. There is concern that antioxidants could reduce the activity of chemotherapy drugs which generate free radicals, such as doxorubicin. In contrast, some researchers theorize that antioxidants might make chemotherapy more effective by reducing oxidative stress that could interfere with apoptosis (cell death) of cancer cells. More evidence is needed to determine what effects, if any, antioxidants such as vitamin C have on chemotherapy.
Estrogens
Vitamin C might increase blood levels of estrogens.
Increases in plasma estrogen levels of up to 55% occur under some circumstances when vitamin C is taken concurrently with oral contraceptives or hormone replacement therapy, including topical products. It is suggested that vitamin C prevents oxidation of estrogen in the tissues, regenerates oxidized estrogen, and reduces sulfate conjugation of estrogen in the gut wall. When tissue levels of vitamin C are high, these processes are already maximized and supplemental vitamin C does not have any effect on estrogen levels. Increases in plasma estrogen levels may occur when patients who are deficient in vitamin C take supplements. Monitor these patients for estrogen-related side effects.
Fluphenazine (Prolixin)
Theoretically, vitamin C might decrease levels of fluphenazine.
In one patient there was a clinically significant decrease in fluphenazine levels when vitamin C (500 mg twice daily) was started. The mechanism is not known, and there is no further data to confirm this interaction.
Indinavir (Crixivan)
Vitamin C can modestly reduce indinavir levels.
One pharmacokinetic study shows that taking vitamin C 1 gram orally once daily along with indinavir 800 mg orally three times daily reduces the area under the concentration-time curve of indinavir by 14%. The mechanism of this interaction is unknown, but it is unlikely to be clinically significant in most patients. The effect of higher doses of vitamin C on indinavir levels is unknown.
Levothyroxine (Synthroid, Others)
Vitamin C can increase levothyroxine absorption.
Two clinical studies in adults with poorly controlled hypothyroidism show that swallowing levothyroxine with a glass of water containing vitamin C 500-1000 mg in solution reduces thyroid stimulating hormone (TSH) levels and increases thyroxine (T4) levels when compared with taking levothyroxine alone. This suggests that vitamin C increases the oral absorption of levothyroxine, possibly due to a reduction in pH.
Warfarin (Coumadin)
High-dose vitamin C might reduce the levels and effectiveness of warfarin.
Vitamin C in high doses may cause diarrhea and possibly reduce warfarin absorption. There are reports of two people who took up to 16 grams daily of vitamin C and had a reduction in prothrombin time. Lower doses of 5-10 grams daily can also reduce warfarin absorption. In many cases, this does not seem to be clinically significant. However, a case of warfarin resistance has been reported for a patient who took vitamin C 500 mg twice daily. Cessation of vitamin C supplementation resulted in a rapid increase in international normalized ratio (INR). Tell patients taking warfarin to avoid taking vitamin C in excessively high doses (greater than 10 grams daily). Lower doses may be safe, but the anticoagulation activity of warfarin should be monitored. Patients who are stabilized on warfarin while taking vitamin C should avoid adjusting vitamin C dosage to prevent the possibility of warfarin resistance.
Acetaminophen (Tylenol, Others)
High-dose vitamin C might slightly prolong the clearance of acetaminophen.
A small pharmacokinetic study in healthy volunteers shows that taking high-dose vitamin C (3 grams) 1.5 hours after taking acetaminophen 1 gram slightly increases the apparent half-life of acetaminophen from around 2.3 hours to 3.1 hours. Ascorbic acid competitively inhibits sulfate conjugation of acetaminophen. However, to compensate, elimination of acetaminophen glucuronide and unconjugated acetaminophen increases. This effect is not likely to be clinically significant.
Aspirin
Acidification of the urine by vitamin C might increase aspirin levels.
It has been suggested that acidification of the urine by vitamin C could increase reabsorption of salicylates by the renal tubules, and increase plasma salicylate levels. However, short-term use of up to 6 grams daily of vitamin C does not seem to affect urinary pH or salicylate excretion, suggesting this interaction is not clinically significant.
Choline Magnesium Trisalicylate (Trilisate)
Acidification of the urine by vitamin C might increase choline magnesium trisalicylate levels.
It has been suggested that acidification of the urine by vitamin C could increase reabsorption of salicylates by the renal tubules, and increase plasma salicylate levels. However, short-term use of up to 6 grams daily of vitamin C does not seem to affect urinary pH or salicylate excretion, suggesting this interaction probably is not clinically significant.
Niacin
Vitamin C might decrease the beneficial effects of niacin on high-density lipoprotein (HDL) cholesterol levels.
A combination of niacin and simvastatin (Zocor) effectively raises HDL cholesterol levels in patients with coronary disease and low HDL levels. Clinical research shows that taking a combination of antioxidants (vitamin C, vitamin E, beta-carotene, and selenium) along with niacin and simvastatin (Zocor) attenuates this rise in HDL, specifically the HDL-2 and apolipoprotein A1 fractions, by more than 50% in patients with coronary disease. It is not known whether this adverse effect is due to a single antioxidant such as vitamin C, or to the combination. It also is not known whether it will occur in other patient populations.
Salsalate (Disalcid)
Acidification of the urine by vitamin C might increase salsalate levels.
It has been suggested that acidification of the urine by vitamin C could increase reabsorption of salicylates by the renal tubules, and increase plasma salicylate levels. However, short-term use of up to 6 grams/day vitamin C does not seem to affect urinary pH or salicylate excretion, suggesting this interaction probably is not clinically significant.
Spanish Black Radish
Antidiabetes Drugs
Theoretically, radish might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Animal research shows that radish extract, juice, and sprouts can reduce glucose levels. Animal research also shows that radish root juice 300 mg/kg reduces fasting and postprandial blood glucose in a rat model of diabetes, with effects similar to glibenclamide.
Brand information
Manufacturer and brand details for Spanish Black Radish, from the product label.
SP Standard Process
See all SP Standard Process products- Name
- Standard Process Inc.
- Street Address
- PO Box 904
- City
- Palmyra
- State
- WI
- ZipCode
- 53156
Spanish Black Radish by SP Standard Process: Common Questions
Does Spanish Black Radish by SP Standard Process interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Can I take this if I'm on birth control?
What does vitamin C do in this product?
Is radish in this product proven to work?
What are the side effects of vitamin C at normal doses?
Is this safe if I'm pregnant or breastfeeding?
Can I take this with diabetes medication?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if Spanish Black Radish is safe with your meds?
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Label information is sourced from the NIH Dietary Supplement Label Database and reflects the product version on file; always read your actual product label. This page is for education only and is not a substitute for professional medical advice. Confirm with your pharmacist or doctor before combining supplements and medications.
The Full Monographs Behind Spanish Black Radish’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Vitamin C
Interacts with 207 drugsVitamin C (ascorbic acid) is an essential nutrient your body needs but cannot make, so you must get it from food or supplements. It's important for immune function, collagen, and acts as an...
Read the full Vitamin C monograph → Herb & supplement monographRadish
Interacts with 86 drugsRadish is a common edible root vegetable that is nutritious and generally safe to eat as food. Some people use radish (especially black radish) and its extracts for digestion and liver suppo...
Read the full Radish monograph →Sources & How We Checked
Spanish Black Radish's label data comes from the NIH Dietary Supplement Label Database; the ingredient interaction data is from the Natural Medicines database, reviewed by our pharmacists.
- NIH Dietary Supplement Label Database (DSLD) — The official product label on file for this supplement.
- Natural Medicines (Therapeutic Research Center) — Evidence-graded clinical reference behind the ingredient interaction data.
Content is written and reviewed by licensed HelloPharmacist pharmacists. See our data sources and editorial standards for how this information is built and checked.
The 56 references behind this product’s interaction data
Every citation that drives the interaction findings for this product’s ingredients, from the evidence-graded Natural Medicines (TRC Healthcare) database. Open an ingredient to browse its citations — links open the study on PubMed or the publisher’s site.
Vitamin C 51 references
- McEvoy GK, ed. AHFS Drug Information. Bethesda, MD: American Society of Health-System Pharmacists, 1998.
- Back DJ, Breckenridge AM, MacIver M, et al. Interaction of ethinyloestradiol with ascorbic acid in man. Br Med J (Clin Res Ed) 1981;282:1516.
- Morris JC, Beeley L, Ballantine N. Interaction of ethinyloestradiol with ascorbic acid in man [letter]. Br Med J (Clin Res Ed) 1981;283:503.
- Labriola D, Livingston R. Possible interactions between dietary antioxidants and chemotherapy. Oncology 1999;13:1003-8.
- Dwyer JH, Merz NB, Shirocre AM, et al. Progression of early atherosclerosis and intake of vitamin C and vitamin E from supplements and food. The Los Angeles Atherosclerosis Study. 41st Annual Conference on Cardiovascular Disease Epidemiology and Prevent
- Levine M, Rumsey SC, Daruwala R, et al. Criteria and recommendations for vitamin C intake. JAMA 1999;281:1415-23. PubMed
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DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.
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